Revenue Cycle TRANSFORMATION

Improve access to care and boost revenue

Shifting relationships between payers, providers, and patients are bringing new revenue cycle challenges that directly impact patients and their access to care. Whether on the front-end, mid-cycle, or back-end, our Lean Six Sigma-inspired optimization and enhancement methodologies focus squarely on speed, accuracy, and results — the three primary demands on virtually every revenue system. You’ll benefit from our talent pool of over 235 consultants with specific experience in Epic Access/revenue cycle and an additional 130 consultants with operational background.

We partner with you to

  • Maximize revenue and reimbursement
  • Develop efficient workflows while maximizing automation
  • Reduce workflow variability and minimize errors
  • Integrate a Lean Six Sigma approach to standardization and quality
  • Track metrics to success
  • Comply with regulations such as MIPS and MACRA
revenue cycle

Targeted or comprehensive revenue cycle transformation

As the market continues to shift from volume to value, organizations we work with are focused on increasing their return on their EHR investment by maximizing reimbursement, increasing automation and reducing cost to collect, or achieving economies of scale through standardization. Nordic’s agile assessment and optimization methodologies can perform targeted, deep-dive transformations of specific areas within your revenue cycle or address comprehensive and integrated transformations across the entire life cycle of your A/R.

Our consultants ensure you're setting a foundation for success, following best practices, and setting up your organization for long-term success by proactively anticipating and managing potential risks.

STANDARDIZED REVENUE CYCLE PROCESSES

Standardizing revenue cycle processes and integration is just as important as standardizing clinical care. Efficiency and productivity are key drivers of operational revenue cycle success. Standardizing scheduling, authorization, coding, and billing processes can help you better align operations and technology and enable automation of common tasks, effective allocation of resources, and economies of scale.

  • Centralize scheduling, authorization management, and referral coordination
  • Consolidate the Charge Description Master (CDM) and charge capture workflows
  • Code for simple visits such as lab and radiology only
  • Consolidate hospital and professional billing functions including statements, self-pay follow-up, and customer service

A FOCUS ON REGULATORY NEEDS

Government regulations and payer reimbursement strategies are rapidly changing, and requirements continue to mature. We stay informed on the ever-changing regulatory requirements to help you keep up with the evolving healthcare environment.

  • Align IT with your operational initiatives
  • Effectively meet the demands of MIPS and MACRA
  • Set up the data architecture necessary to facilitate a scalable population health strategy
  • Leverage Epic applications to meet your population health needs

Full-cycle revenue solutions

Front-end

  • Provider accessibility and scheduling protocols
  • Real-time eligibility and benefit automation
  • Patient estimates and POS collections
  • Referral coordination and management
  • Service authorizations

Mid-cycle

  • Revenue integrity and charge reconciliation
  • Automate charging from clinical documentation
  • Charge reconciliation management
  • Clinical documentation improvement
  • Case management
  • Simple visit coding

Back-end

  • Single billing office consolidation
  • Automated clearinghouse claims reconciliation
  • Cash management
  • Claims status request
  • Charge edit best practices
  • Tracking underpayments
  • Third party coding and scrubbing integration

Revenue cycle enhancement in four steps

ASSESS We help you identify what's working and where your opportunities lie. It's all wrapped into an actionable report comparing your practices to best practices with clear next steps for improvement.

DESIGN Together, we turn our findings into a plan — designing better workflows and adopting changes at a sensible pace. We'll help you mold your culture around accountability and actions before prepping for implementation.

IMPLEMENT With a plan in place, we help you bring the design to life. Our consultants team up with your operations and information team to execute build and workflow changes while training your staff to fully adopt new processes and take ownership of their system.

SUSTAIN We protect your success by partnering with management and supervisor teams to analyze what's working well and where to focus on improving — laying out recommendations for future enhancements. We don't let go until you're fully equipped to onboard new users and make adjustments yourself.

The Nordic Difference

235 Consultants with Epic Access & revenue cycle management experience
130 Consultants with operational backgrounds
Lean Six Sigma
Methodologies and processes inspired by a proven efficiency system

KLAS-leading service

In KLAS’s 2016 Optimization Services report, we had the highest number of organizations reporting significant positive impact with an overall score of 92.9 for overall performance. Nordic scored 92.3 for Revenue Cycle Optimization and 94.2 for Clinical Optimization. One client shared, “We hired Nordic for an optimization project to go through almost every module from Epic. Nordic led the work and had many of their employees here. That was very successful. Nordic did an excellent job.”

University of Arkansas and Nordic

Nordic worked closely with our leadership team to help provide direction, structure, and process, allowing UAMS to efficiently update our internal workflows for stabilizing key revenue cycle functions and helped to identify optimization opportunities to better incorporate Epic functionality into our system.


PAULA WHITE, ASSOCIATE DEAN OF CLINICAL FINANCE FACULTY GROUP PRACTICE, UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES

Let's unlock your revenue potential together.

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